Joint pathology in musculoskeletal lumbar pain: a dialogue between a neurologist and a rheumatologist

Abstract

Skeletal-muscular (nonspecific) lumbar pain (lumbodynia), often with spread to the leg (lumboishialgia), is one of the most common causes of consultations with a physician and temporary disability in the population. In many cases, the development of pain is associated with lesions of the lumbar facet joints (LFJ) and sacroiliac joint (SI). What are the causes, clinical features, and diagnosis of lumbar pain caused by lesions of the LFJ and SI? What should be the medical tactics for lumbar pain caused by LFJ and SI lesions? What is the actual practice of treating such patients? Leading experts discuss the problem of managing patients with lumbar musculoskeletal pain:Parfenov Vladimir Anatolievich – Dr. Sci. (Med.), Professor, Neurologist, Head of the Department of Nervous Diseases and Neurosurgery, Sklifosovskiy Institute of Clinical Medicine? First Moscow State Medical University (Sechenov University)Karateev Andrey Evgenyevich – Dr. Sci. (Med.), Head of the Laboratory of Pathophysiology of Pain and Clinical Polymorphism of Musculoskeletal Diseases Nasonova Research Institute of Rheumatology.